health promotion with crack smokers
TRANSCRIPT
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Health Promotion with Crack Smokers
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Context
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Oral Sores (Edlin, et al. 1994; Faruque, et al. 1996; Jones, et al. 1998)
Burns (Faruque, et al. 1996; Meleca, et al. 1997)
Respiratory Injuries & Infections (Haim, et al. 1995; Meleca, et al. 1997; Story, et al. 2008)
HIV & accelerated disease progression (Baum, et al. 2009; DeBeck, et al. 2009; Edlin, et al. 1994; Jones, et al. 1998)
HCV, HCB (Feldman, et al. 2000; Fischer, et al. 2008; Macías, et al. 2008 ; Rosenberg, et al. 2001; Tortu, et al.
2004)
STIs
(Booth, et al. 2000; Jones, et al. 1998; Wilson, et al. 1998)
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Context
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Synergistic Factors: Addiction Illegality Poverty Stigma Public Health & Criminal Justice Systems Pervasive demonization Sexism Racism Classism
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Crack smokers & IDUs high-risk marginalized
Syringe Access Programs for IDUs Accessible Short-term incentive Significant, long-term benefits
direct & ancillary to the individual & to the general population
And for Crack smokers?
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Obvious need Risk-reduction Increased engagement Expanded service provision
material distribution to crack smokers addresses these needs, so
should be significantly expanded
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Harm Reduction Programs Glide Health Services San Francisco, Tenderloin District
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Mixed methodology Survey Instrument Participant Observation
Attitudes about notional crackpipe distribution
Harm reduction among crack smokers Views, experiences, responses
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Crack kit distribution routinely elicits requests for crackpipes Would come to our exchange if we
provided crackpipes
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Crack kit distribution catalyzes health promotion opportunities Conversations about health promotion
& harm reduction strategies Knowledge validation Requests for condoms & lubricant,
wellness & treatment information
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Distributing harm reduction materials to crack smokers creates opportunities To engage To educate a high-risk, underserved population
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Crackpipe Distribution Directly address associated health risks Further incentivize interaction with harm
reduction services Augment & increase these interactions Facilitate ancillary benefits harm
reduction participation